| NPI | 1548463664 |
|---|---|
| Former Name | MARY D BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F334409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334409) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-01-07 |