| 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 |