| NPI | 1013356872 |
|---|---|
| Former Name | DEBORAH LEE BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3140302) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL FLRN3140302) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-10-01 |