Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 92284 | TN |
N | 2086S0120X | Pediatric Surgery | M8133 | TX |
NPI | 1376787101 |
---|---|
Provider Name | Monica Esperanza Lopez |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-2303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2009 |
Last Update Date | 20/05/2021 |