NPI | 1760043673 |
---|---|
Former Name | TRACY LEE PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201901674NP-PP) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201903006NP-PP) |
Enumeration Date | 2019-06-23 |
Last Update Date | 2019-06-23 |