NPI | 1285897637 |
---|---|
Former Name | JENNIFER M BERGANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: KY 44553) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2021-01-12 |