NPI | 1154831329 |
---|---|
Other Name | LAVERN CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11032593) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2025-01-20 |