| NPI | 1497972251 |
|---|---|
| Former Name | AMY MICHELLE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02-003403A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 6429) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2017-01-27 |