| NPI | 1053841577 |
|---|---|
| Other Name | BRIDGETT WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 341993) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-07-07 |