| NPI | 1164414504 |
|---|---|
| Other Name | MARY NELL PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810241) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2017-04-04 |