| NPI | 1083792345 |
|---|---|
| Former Name | EVELYN L PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD16340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M11931) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-05-03 |