NPI | 1518492933 |
---|---|
Former Name | KATHERINE ELIZABETH BERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD187924) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-24 |
Last Update Date | 2021-09-03 |