| NPI | 1902189376 |
|---|---|
| Former Name | BETHSAIDA JEAN LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 9281898) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9281898) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2022-10-10 |