NPI | 1255954228 |
---|---|
Former Name | CRISTINA IRENE LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN11005698) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN11005698) |
363LF0000X Nurse Practitioner, Family (Licence: FL 11005698) | |
Enumeration Date | 2020-05-25 |
Last Update Date | 2024-11-06 |