| NPI | 1174851547 |
|---|---|
| Professional Name | KATHLEEN M BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP-3489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN137226) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2010-05-13 |