| NPI | 1710426176 |
|---|---|
| Former Name | SAMANTHA R BERGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006896A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006896B) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2025-08-16 |