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 |