| NPI | 1548435464 |
|---|---|
| Former Name | SHANAIL BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 098735) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 098735) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2018-04-17 |