NPI | 1386797330 |
---|---|
Former Name | COLLEEN MCGEE CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.096654) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116016849) |
208000000X Pediatrics (Licence: GU M-1553) | |
208000000X Pediatrics (Licence: CA A110504) | |
Enumeration Date | 2007-01-20 |
Last Update Date | 2011-07-20 |