NPI | 1700648052 |
---|---|
Former Name | MOLLY PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029018) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209029018) |
Enumeration Date | 2024-01-23 |
Last Update Date | 2024-11-27 |