NPI | 1083892962 |
---|---|
Former Name | CATHLEEN JOANNA PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400878) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40 400878) |
Enumeration Date | 2008-02-04 |
Last Update Date | 2016-08-11 |