| NPI | 1023476819 |
|---|---|
| Former Name | ALISHA BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP8436) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-11-18 |