| NPI | 1790716033 |
|---|---|
| Former Name | SANDRA LEE PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: UT 49008288900) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-10-25 |