| NPI | 1598104408 |
|---|---|
| Former Name | MARQUETTA DIONNE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN176690) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |