NPI | 1326480500 |
---|---|
Former Name | AMANDA KATHERINE BERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD474723) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 28515) |
208M00000X Hospitalist (Licence: PA MD474723) | |
Enumeration Date | 2013-07-29 |
Last Update Date | 2022-09-29 |