| NPI | 1205060555 |
|---|---|
| Former Name | SKOTTI DEANNE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: OR MD201371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-099402) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: CO DR.0054282) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2021-02-19 |