| NPI | 1437416716 |
|---|---|
| Former Name | KATIE J PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 56041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 074611) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2018-06-22 |