NPI | 1366916645 |
---|---|
Former Name | KARI ANN BERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR001036) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R040689) |
Enumeration Date | 2019-01-19 |
Last Update Date | 2022-01-04 |