| NPI | 1992204853 |
|---|---|
| Former Name | BETTINA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP136945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP136945) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03455) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2024-07-17 |