| NPI | 1114579281 |
|---|---|
| Other Name | KATIE BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG205057) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2021-08-11 |