NPI | 1174090492 |
---|---|
Other Name | REBECCA JEAN BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 88893) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704233579) |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |