| NPI | 1366901365 |
|---|---|
| Former Name | MEGHAN ELIZABETH PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0001228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R223989) |
| 163W00000X Registered Nurse (Licence: DE L1-0040336) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-04-23 |