| NPI | 1336567106 |
|---|---|
| Former Name | LAUREN SAMANTHA BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: GA 98400) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 304581) |
| 208600000X Surgery (Licence: WI 77282) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 77282) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2024-02-05 |