NPI | 1548899396 |
---|---|
Former Name | ABIGAIL BRENDA BERGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MT231078) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11813700) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2024-06-18 |