NPI | 1194223891 |
---|---|
Former Name | MELISSA CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A005468) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A005468) |
Enumeration Date | 2018-01-28 |
Last Update Date | 2024-11-13 |