| NPI | 1548735715 |
|---|---|
| Former Name | VIRGINIA ANNE LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95029055) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-02-07 |