NPI | 1053367144 |
---|---|
Other Name | CARRIE WONG BERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00039643) |
Additional Taxonomies | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine (Licence: WA MD00039643) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2021-04-16 |