| NPI | 1477752392 |
|---|---|
| Former Name | VIRGINIA LEE BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP6310) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-26 |