| 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) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-12-04 |