NPI | 1518153923 |
---|---|
Former Name | KENDRA D PERKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 0006075) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX national) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2024-05-10 |