| NPI | 1851684641 |
|---|---|
| Former Name | HEATHER LYNN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV DO2928) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.011323) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0102205331) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2021-05-24 |