NPI | 1124335831 |
---|---|
Former Name | BRIDGET MILLER GUIDRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 03792) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 03792) |
Enumeration Date | 2010-09-02 |
Last Update Date | 2019-03-26 |