| NPI | 1245757103 |
|---|---|
| Former Name | THERESA J BERING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006562) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |