| NPI | 1881952711 |
|---|---|
| Former Name | KATHERINE JANE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME118093) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2015-01832) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2018-10-18 |