NPI | 1326513359 |
---|---|
Former Name | OLIVIA DECKER CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24893) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 196249) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24893) | |
Enumeration Date | 2018-10-05 |
Last Update Date | 2024-06-06 |