| NPI | 1235625963 |
|---|---|
| Former Name | LYDIA MENDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012245) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012245) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-03-07 |