NPI | 1063965192 |
---|---|
Former Name | ADRIANNE R PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004844) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004844) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2023-05-23 |