NPI | 1083780712 |
---|---|
Professional Name | CAMILLE GORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54318) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 5214) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2019-03-24 |