| NPI | 1780205484 |
|---|---|
| Former Name | BRIDGET MARY GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00574800) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-07-21 |