| NPI | 1457315970 |
|---|---|
| Former Name | LYNN M BERGSTRAESSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 14250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 225698-1) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-08-02 |