| NPI | 1891931507 |
|---|---|
| Former Name | PATRICE ANN PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002831A) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2022-05-20 |