NPI | 1508255399 |
---|---|
Former Name | BRIDGET DOHERTY KANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 2517) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP 2517) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2017-05-16 |