| NPI | 1306327812 |
|---|---|
| Former Name | BONNIE WOODRUFF PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP018639) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2024-09-05 |