| NPI | 1154657625 |
|---|---|
| Former Name | KATRICE DIONNE BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-173899) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 186422) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2022-09-29 |