NPI | 1306095419 |
---|---|
Former Name | BRIDGET G DELANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1159) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA1159) |
363AS0400X Physician Assistant, Surgical (Licence: KY PA1159) | |
Enumeration Date | 2008-09-12 |
Last Update Date | 2024-11-15 |