| NPI | 1639221872 |
|---|---|
| Former Name | PAMELA LYNN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA PT33328) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-08-12 |