| NPI | 1285034926 |
|---|---|
| Former Name | NYDIA LISETTE OCAMPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX AT 1508) |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2014-08-31 |