| NPI | 1275025603 |
|---|---|
| Former Name | BROOKE ASHLEY BERKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS09546) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA DDS009546) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2020-03-02 |