| NPI | 1255851176 |
|---|---|
| Former Name | DENISE BRADDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.021060) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.021060) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-07-06 |