NPI | 1316553969 |
---|---|
Former Name | BRIDGET PRENDERGAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209022749) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL PENDING) |
Enumeration Date | 2020-09-18 |
Last Update Date | 2024-07-10 |