NPI | 1881371557 |
---|---|
Former Name | IRMA LETICIA CAMACHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 293865) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN155417) |
Enumeration Date | 2023-07-03 |
Last Update Date | 2024-07-30 |