| NPI | 1437308244 |
|---|---|
| Former Name | BRIDGET L DICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001919) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1400) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-07-15 |