| NPI | 1174370118 |
|---|---|
| Former Name | CAMILLE J VERNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7473051-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7473051-8900) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |