| 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 |