NPI | 1700918562 |
---|---|
Former Name | JAMAE CHERIE CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: SC 28107) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 28107) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: SC 28107) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2023-03-24 |