| 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 |