| NPI | 1083129043 |
|---|---|
| Former Name | TIA L BERGLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28179538A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007685A) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2021-02-19 |