| NPI | 1023768033 |
|---|---|
| Former Name | SELINA DANIELLE LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018986) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95018986) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95018986) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95018986) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-01-10 |