| NPI | 1811794431 |
|---|---|
| Former Name | ERICA PAULINE LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1057398) |
| Enumeration Date | 2025-03-01 |
| Last Update Date | 2025-03-01 |