| NPI | 1528428380 |
|---|---|
| Former Name | JESSICA LYNN CAMPF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101263245) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101263245) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2023-10-01 |