| NPI | 1124317995 |
|---|---|
| Former Name | CASEY NICOLE BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WY TL3638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD041597) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2019-09-12 |