| NPI | 1942359757 |
|---|---|
| Former Name | BERGEN CHRISTINE MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP115623) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WY 31936.1243) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-08-19 |