| 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 |