NPI | 1114007630 |
---|---|
Former Name | JENNIFER MILLER PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN235259) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN235259) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2018-01-22 |