| 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 |