| NPI | 1053450957 |
|---|---|
| Other Name | TRACY D BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 23494) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OK 23494) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-07-13 |