NPI | 1336021930 |
---|---|
Former Name | GREGORIE DELLOPHINE PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15351100) |
Enumeration Date | 2025-07-23 |
Last Update Date | 2025-09-10 |