| NPI | 1306576046 |
|---|---|
| Former Name | CAMILA ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA13194600) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2026-06-20 |