NPI | 1932406717 |
---|---|
Other Name | DENISE BRIDGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60468344) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60468344) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2022-01-11 |