| NPI | 1275802324 |
|---|---|
| Former Name | ALLA MIKHAYLOVNA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 276753) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MA 276753) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2025-10-29 |