| NPI | 1437713633 |
|---|---|
| Former Name | RENAE BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11004171) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP141454) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-06-24 |