| NPI | 1669453031 |
|---|---|
| Other Name | NANCY LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-06595) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 010394) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-12-08 |