| NPI | 1871541342 |
|---|---|
| Other Name | KIMBERLY BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2155-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 11987) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-07-21 |