| NPI | 1487101101 |
|---|---|
| Former Name | TRUDY MARIE-VIOLA PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402376) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2024-04-04 |