NPI | 1083915581 |
---|---|
Former Name | BRIDGET A. EATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003392A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164206A) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2018-10-09 |