| NPI | 1124148028 |
|---|---|
| Former Name | TONYA M PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AR E-1267) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.083195) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-09-19 |