| NPI | 1265192892 |
|---|---|
| Former Name | BRIDGET POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95018412) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-03-07 |