| NPI | 1801199666 | 
|---|---|
| Former Name | AMY CAMPBELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 857450) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS R857450) | 
| Enumeration Date | 2010-12-15 | 
| Last Update Date | 2025-03-25 |