| NPI | 1417987975 |
|---|---|
| Former Name | SUSAN L BRIDGEWATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00148452) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-09 |