NPI | 1154364420 |
---|---|
Former Name | PHYLLIS L VINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP108445) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 516017) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2016-06-28 |