| NPI | 1205223542 |
|---|---|
| Former Name | JENNIFER LYNN BERRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V3612) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036173905) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29575) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2026-04-29 |