| NPI | 1295380046 |
|---|---|
| Former Name | KATHRYN A CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WV 113710) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 22082) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-07-18 |