| NPI | 1346518370 |
|---|---|
| Former Name | ANNIE J BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA218233) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 11439) |
| 363A00000X Physician Assistant (Licence: NH EL11534) | |
| 363AM0700X Physician Assistant, Medical (Licence: ID 6661176) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2024-11-04 |