| NPI | 1780635771 |
|---|---|
| Former Name | NIEVES LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 045400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G79482) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2023-03-07 |