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 |