NPI | 1588935829 |
---|---|
Former Name | HEATHER STERLING CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208D00000X General Practice (Licence: NC 2013-01450) |
Enumeration Date | 2012-01-18 |
Last Update Date | 2023-03-07 |