| NPI | 1710475363 |
|---|---|
| Former Name | TRACY DAWN PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WY 49417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0993714-NP) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-05-16 |