| NPI | 1609293026 |
|---|---|
| Former Name | AMY PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17802) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2017-02-07 |