NPI | 1427109610 |
---|---|
Former Name | KENYA SHETERE FERNANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1182) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 1182) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2023-06-06 |