| NPI | 1629517255 |
|---|---|
| Former Name | ABIGAIL JULIA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA396) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-12-29 |