NPI | 1083747703 |
---|---|
Former Name | CHRISTINA N PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 10431) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000133438) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000010431) | |
163W00000X Registered Nurse (Licence: TN 133438) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2013-06-28 |