NPI | 1598991853 |
---|---|
Former Name | BRIDGETTE LOREEN LINEHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006186) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 6186P) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 6186P) | |
Enumeration Date | 2009-06-01 |
Last Update Date | 2018-03-17 |