NPI | 1861265423 |
---|---|
Former Name | MADELINE MAE CAMACHO MARAMBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027982) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 751817) |
Enumeration Date | 2023-11-03 |
Last Update Date | 2023-12-06 |