NPI | 1669899837 |
---|---|
Former Name | KRISTA L BERGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-39769) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01085553A) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-04-28 |