NPI | 1114709326 |
---|---|
Former Name | PHILLIPS NATALIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 34830) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 34830) |
Enumeration Date | 2023-10-23 |
Last Update Date | 2024-10-28 |