NPI | 1871806976 |
---|---|
Former Name | KIMBERLY BERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9405150) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30 305443) |
363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024170030) | |
163W00000X Registered Nurse (Licence: VA 0001236485) | |
Enumeration Date | 2010-07-17 |
Last Update Date | 2015-11-17 |