NPI | 1730754524 |
---|---|
Former Name | ARIEL NICOLE CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R209249) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2021-05-24 |