NPI | 1003185281 |
---|---|
Former Name | ROBIN MICHELLE CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 2070) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108321) |
Enumeration Date | 2011-12-19 |
Last Update Date | 2015-01-27 |