| NPI | 1669453478 |
|---|---|
| Former Name | RITA ANN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK AK-RN #24570) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK AK-CRNA #275) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-10-08 |