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 |