| NPI | 1619429164 |
|---|---|
| Former Name | BRIDGET HOVENDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005479) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058678) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2023-06-13 |