NPI | 1063143790 |
---|---|
Former Name | BERENICE JEACEL CAMARENA MOJICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP279966) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN205093) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2023-08-16 |