| NPI | 1245046424 |
|---|---|
| Former Name | MARGO JOSEPHINE CAMPOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035188) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: CA 95283013) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-06-07 |