| NPI | 1013974146 |
|---|---|
| Former Name | ELIZABETH A BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 45434) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 98228) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2021-04-15 |