| NPI | 1902895071 |
|---|---|
| Former Name | DIANA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9365957) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003135) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2021-03-16 |