| NPI | 1750585097 |
|---|---|
| Former Name | SALLY VERONICA HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60254258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167352) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2013-03-28 |