NPI | 1699535278 |
---|---|
Former Name | MICHELLE Y BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 590101) |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-03-20 |