NPI | 1720636038 |
---|---|
Former Name | KATHERINE GLYNN PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014159) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178159) |
Enumeration Date | 2019-08-29 |
Last Update Date | 2024-09-20 |