| NPI | 1104048776 |
|---|---|
| Former Name | LESLIE ERIN BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-115779) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 036115779) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-02-28 |