| NPI | 1770965675 |
|---|---|
| Former Name | DENA RAE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09876) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2021-11-10 |