| NPI | 1548246085 |
|---|---|
| Professional Name | CAMILLE MERCEDES GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 7564) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200700182) |
| 207Q00000X Family Medicine (Licence: AK MEDS7564) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2019-04-02 |