| NPI | 1578086997 |
|---|---|
| Former Name | THERESA MICHELLE PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007356A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28188592A) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2023-03-03 |