| NPI | 1801213137 |
|---|---|
| Former Name | ALISA BERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD211147) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a138008) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-06-18 |