| NPI | 1487814471 |
|---|---|
| Former Name | CHRISTINE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029508) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33 015872) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-08-14 |