| NPI | 1134408644 |
|---|---|
| Former Name | IDA SAWYER TRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1008705) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2015-05-21 |