| NPI | 1942399134 |
|---|---|
| Former Name | CARA E. PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CO 46036) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2004028828) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-03-18 |