| NPI | 1285187955 | 
|---|---|
| Former Name | LOUISA LOPEZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 1427674373) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9250727) | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9250727) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9250727) | |
| Enumeration Date | 2016-07-29 | 
| Last Update Date | 2025-09-04 |