NPI | 1285067322 |
---|---|
Former Name | CAMELLA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN208578) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2017-04-26 |