| NPI | 1659361970 |
|---|---|
| Former Name | ZOILA REYNA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA03369) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA03369) |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085.002951) | |
| 363AS0400X Physician Assistant, Surgical (Licence: GA GA005528) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2014-01-03 |