NPI | 1871875724 |
---|---|
Former Name | RACHEL FERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54162) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 54162) |
363LF0000X Nurse Practitioner, Family (Licence: CA 21510) | |
Enumeration Date | 2011-09-16 |
Last Update Date | 2020-07-14 |