| NPI | 1174701684 |
|---|---|
| Former Name | EMILY LUISA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.2320) |
| Additional Taxonomies | 174400000X Specialist |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2024-03-07 |