NPI | 1790410157 |
---|---|
Former Name | MAJA A CAMPBELL EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IA C166877) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C166877) |
Enumeration Date | 2022-07-20 |
Last Update Date | 2022-07-20 |