NPI | 1184221673 |
---|---|
Former Name | ASHLEY MARIE BRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1019235) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 935660) |
Enumeration Date | 2020-10-07 |
Last Update Date | 2020-11-30 |