| NPI | 1407830102 |
|---|---|
| Former Name | MICHELLE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 27925) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY 47533) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 27925) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 47533) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2021-03-18 |