| NPI | 1114432259 |
|---|---|
| Former Name | SARAH A BERGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 190356) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-03-06 |