| NPI | 1982012449 |
|---|---|
| Former Name | JANICE LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9453730) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382451-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9453730) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2017-11-21 |