NPI | 1184265738 |
---|---|
Former Name | BROOKE M PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A154999) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A154999) |
Enumeration Date | 2019-10-04 |
Last Update Date | 2021-09-03 |