| NPI | 1336740620 |
|---|---|
| Former Name | COURTNEY J PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020029102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 79693) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A181796) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-11-14 |