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 |