| NPI | 1780144527 |
|---|---|
| Former Name | ADRIANA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA12194500) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-07-16 |