NPI | 1669990230 |
---|---|
Former Name | OLIVIA PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C07087) |
Enumeration Date | 2017-09-05 |
Last Update Date | 2024-10-30 |