NPI | 1942666391 |
---|---|
Former Name | RACHAEL LYNN BRIDGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-137600) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-137600) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2019-06-12 |