| NPI | 1780922948 |
|---|---|
| Former Name | MARA BERTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430705) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 615535) |
| 163W00000X Registered Nurse (Licence: NY 615535) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2023-03-06 |