| NPI | 1881231801 |
|---|---|
| Former Name | MERCEDES LADONNA PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 231123) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2020-10-01 |