| NPI | 1336177856 |
|---|---|
| Former Name | JASMINE NOELINE LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.020023) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-09-24 |