| NPI | 1427737139 |
|---|---|
| Former Name | BRIDGET MARIE MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14238-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G175093) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-09-07 |