NPI | 1598152209 |
---|---|
Former Name | ERICA LEIGH BERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9302707) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9302707) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2017-04-26 |