| NPI | 1912193947 |
|---|---|
| Former Name | JESSICA ELIZABETH BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 17746) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2021-12-23 |