| NPI | 1003460262 |
|---|---|
| Former Name | SUSAN A LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00936900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00936900) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2025-04-11 |