| NPI | 1316965676 |
|---|---|
| Other Name | CHARLOTTE ANN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP112018) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 550182) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-01-07 |