| NPI | 1568887131 |
|---|---|
| Former Name | SYDNEY BRIDGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006922) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2017-02-22 |