| NPI | 1548607641 |
|---|---|
| Former Name | JULISSA GISELLE CAMACHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9231978) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-04-13 |