| NPI | 1801401187 |
|---|---|
| Former Name | LEIGH ANNE BERILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60760874) |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-13 |