NPI | 1497007629 |
---|---|
Former Name | COURTNEY PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 5109) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 5109) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2023-03-07 |