NPI | 1619063674 |
---|---|
Former Name | MEGAN E CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 258635) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 258635) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2023-03-07 |