| NPI | 1891167607 |
|---|---|
| Former Name | LAURA AUSTEN BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R248128) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015503) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2021-07-26 |