| NPI | 1427478577 |
|---|---|
| Former Name | AUDREY BERGESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 11439161-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q9957) |
| 207P00000X Emergency Medicine (Licence: TX BP10049734) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-12-22 |