NPI | 1790111433 |
---|---|
Former Name | ALBREY LEE BERBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A003951) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R082630) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2023-10-12 |