NPI | 1124456819 |
---|---|
Other Name | AMANDA LEIGH BERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00468200) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00468200) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2024-11-05 |