NPI | 1225320138 |
---|---|
Other Name | ELIZABETH DIANE LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 33887) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 731571) |
Enumeration Date | 2011-05-10 |
Last Update Date | 2022-11-09 |