| NPI | 1780982165 |
|---|---|
| Former Name | VICKI LYNN PERDUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9262827) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |