NPI | 1528413523 |
---|---|
Former Name | BRIDGET C NOONAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112041) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 69656) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2022-05-24 |