NPI | 1013947522 |
---|---|
Former Name | DESMONDA L. BRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301072883) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301072883) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2022-02-07 |