| NPI | 1023573961 |
|---|---|
| Former Name | CANDY BRIDGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001627) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MO RN9185770) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2024-07-30 |