| NPI | 1932796356 |
|---|---|
| Former Name | INDIA LUCILLE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028383) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2024-02-02 |