NPI | 1902376148 |
---|---|
Former Name | SARAH LYNN FERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 837435) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704309231) |
Enumeration Date | 2018-11-30 |
Last Update Date | 2021-05-14 |