NPI | 1427305051 |
---|---|
Former Name | VANESSA MARIA LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P3381) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX P3381) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2016-11-23 |