| NPI | 1033883301 |
|---|---|
| Former Name | RACHAEL E BRIDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AK 182868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 23726) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-11-20 |