| NPI | 1518323427 |
|---|---|
| Former Name | VIRGINIA DENISE PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901385) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2019-06-11 |