| NPI | 1033738190 |
|---|---|
| Former Name | AMANDA BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NH 39224) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 39224) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2026-06-23 |