| NPI | 1225866130 |
|---|---|
| Former Name | ELENA BERGSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA APRN-CRNA255351) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2026-03-09 |