| NPI | 1780027102 |
|---|---|
| Former Name | NICOLE N FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NE 33602) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NE 33602) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A133065) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-08-12 |