| NPI | 1689870263 |
|---|---|
| Former Name | MICHELLE RENE BERGERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN105312 AP04932) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-01-21 |