NPI | 1841729076 |
---|---|
Former Name | ERIN JEAN BERGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 74697) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 74697) |
Enumeration Date | 2017-06-10 |
Last Update Date | 2024-07-22 |