| NPI | 1841733532 |
|---|---|
| Former Name | MICHELLE LEIGH BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20592) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2022-01-11 |