| 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 |