| NPI | 1376259184 |
|---|---|
| Former Name | KIMBERLY MICHELE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0121X Registered Nurse Plastic Surgery (Licence: IN 28236535A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28236535A) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |