NPI | 1841566064 |
---|---|
Other Name | SHANNON PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: HI 1568) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036129893) |
207Q00000X Family Medicine (Licence: HI 1568) | |
Enumeration Date | 2012-04-02 |
Last Update Date | 2022-01-06 |