NPI | 1487743829 |
---|---|
Former Name | MISTY LYNN PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 27168) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL27168) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-10-13 |