| NPI | 1881183762 |
|---|---|
| Former Name | ALICIA MARIE BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704285336) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704285336) |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2018-11-28 |