NPI | 1770098378 |
---|---|
Former Name | ELIZABETH GRACE PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95006946) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95006946) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95006946) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95006946) | |
Enumeration Date | 2017-12-06 |
Last Update Date | 2022-03-30 |