| NPI | 1841871068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON MAKAILA BERGH Owner/Nurse Practitioner/ RN Fa 913-548-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-09-13 |