NPI | 1902005796 |
---|---|
Former Name | TONYA R PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3005223) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005223) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3005223) | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2015-02-23 |