| NPI | 1437102290 |
|---|---|
| Former Name | BRIDGETTE L DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036108694) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.24273) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-12-06 |