NPI | 1801146402 |
---|---|
Former Name | KAREN JEANETTE BRIDGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN181566) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173615) |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN181566) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2025-02-06 |