| NPI | 1790394518 |
|---|---|
| Former Name | JENNA HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 9033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 164932) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-08-16 |