| NPI | 1871129791 |
|---|---|
| Former Name | KIMBERLY FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX W5331) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX W5331) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-05-08 |