NPI | 1801199666 |
---|---|
Former Name | AMY CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R857450) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS R857450) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2018-08-22 |