| NPI | 1023280831 |
|---|---|
| Former Name | JENNIFER BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WI 54323) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 54323) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 54323) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-01-09 |