NPI | 1730514191 |
---|---|
Former Name | PENNE S PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11006288) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174843) |
363L00000X Nurse Practitioner (Licence: TN 17921) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 17921) | |
Enumeration Date | 2013-09-04 |
Last Update Date | 2024-01-04 |