| 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 |