| NPI | 1215683891 |
|---|---|
| Former Name | SHEMIKA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25189) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: SC 25189) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-04-28 |