| NPI | 1710189022 |
|---|---|
| Former Name | KATASHA ELISHA PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2020-04771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N0216) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2021-04-12 |