| NPI | 1598729071 |
|---|---|
| Former Name | LETICIA CAMACHO-MOJICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00739700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA3045) |
| 363A00000X Physician Assistant (Licence: NY 004975-01) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-10-02 |