| NPI | 1497335442 |
|---|---|
| Former Name | BRIDGET NICOLE KEEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD484337) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT224382) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-06-27 |