| NPI | 1730327966 |
|---|---|
| Former Name | LEAH BERGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: ID M-12862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 37717) |
| 207Q00000X Family Medicine (Licence: CA G88179) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: HI 17667) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ 43404) | |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2023-10-11 |