NPI | 1740735497 |
---|---|
Former Name | ELIZABETH ASHLEY CAMERON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019027687) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2019-07-30 |