| 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 |