NPI | 1093155756 |
---|---|
Former Name | LAURA ANNE BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A145365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A145365) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2021-02-22 |