| NPI | 1164770087 |
|---|---|
| Former Name | MARIE BERSAMIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001181285) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-09-07 |