NPI | 1952641706 |
---|---|
Former Name | ANNE MICHELLE PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 790993) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NE 72107) |
Enumeration Date | 2013-02-14 |
Last Update Date | 2013-02-14 |