NPI | 1073965570 |
---|---|
Former Name | HILLARY CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014512) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 209.014512) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2021-09-30 |