| NPI | 1851786248 |
|---|---|
| Former Name | KIMBERLY K PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 78154) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 66773) |
| 207L00000X Anesthesiology (Licence: WI 66773) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-11-10 |