| NPI | 1235648072 |
|---|---|
| Former Name | KAITLYN BERNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 177758) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2019-02-27 |