| NPI | 1487902268 |
|---|---|
| Former Name | KATHY LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 115677) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 115677) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2021-02-01 |