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