| NPI | 1033639968 |
|---|---|
| Former Name | AUDREY VON BERGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0993614-CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 112289) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-11-10 |