NPI | 1487835534 |
---|---|
Former Name | SHARON A BRIDGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3052562) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3052562) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2024-09-26 |