| NPI | 1376670570 |
|---|---|
| Former Name | KALA NICOLE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS R865872) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R865872) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-05-24 |