| NPI | 1376542233 |
|---|---|
| Former Name | ANGELLE L. BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 025322) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 24290) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2021-02-02 |