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 |