| NPI | 1427371764 |
|---|---|
| Other Name | KATHLEEN ANN BERGER LAGOS-BARBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX R9469) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 296224) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2021-06-02 |