NPI | 1891274346 |
---|---|
Former Name | BRIDGET M LOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011554) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F343089) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2021-10-19 |