| NPI | 1003110974 |
|---|---|
| Former Name | WENDY LEIGH BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 21185) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP9306512) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2016-11-29 |