NPI | 1245046424 |
---|---|
Former Name | MARGO JOSEPHINE CAMPOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0800X Registered Nurse, Orthopedic (Licence: CA 95283013) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95283013) |
Enumeration Date | 2024-12-03 |
Last Update Date | 2024-12-03 |