| NPI | 1780111773 |
|---|---|
| Former Name | BRIDGET STRAUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111095) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020808) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2021-05-08 |