| NPI | 1194158527 |
|---|---|
| Former Name | TISON LATOI PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 706689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124139) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2022-09-19 |