NPI | 1609849728 |
---|---|
Former Name | CHRISTY LILLIBRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 002932) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002932) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2013-07-16 |