| NPI | 1417535469 |
|---|---|
| Other Name | LAURA ILEANA FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125081019) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2022-06-24 |