| NPI | 1760821672 |
|---|---|
| Former Name | CAMILLA ROSE CULLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.14623-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.14623-NP) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-12-27 |