| NPI | 1023654647 |
|---|---|
| Former Name | MICAELA RAE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015772) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11015772) |
| 163WE0003X Registered Nurse, Emergency (Licence: FL RN9469517) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-03-04 |