| NPI | 1811441256 |
|---|---|
| Former Name | KATHERINE PHILLIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 870750) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016459) |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2024-02-08 |