NPI | 1790039964 |
---|---|
Other Name | KRISTI SUZANNE PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL ARNP9273423) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9273423) |
Enumeration Date | 2012-11-09 |
Last Update Date | 2019-12-19 |