| NPI | 1306337332 |
|---|---|
| Other Name | PHYLISS EVON SOLOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN150971) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN150971) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2023-07-27 |