| NPI | 1669768180 |
|---|---|
| Former Name | DANA BERG GRAVEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A141023) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036136580) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: IL 36136580) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 141023) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-05-24 |