NPI | 1932453511 |
---|---|
Former Name | JILLIAN MARIE BERGMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NH 074977-23) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 074977-23) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2025-08-22 |