| NPI | 1871751297 |
|---|---|
| Other Name | AMY LARAE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 3409934405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 3409938900) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-10-03 |