| NPI | 1275267528 |
|---|---|
| Former Name | BAILEY MARIE BRADSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0997713-NP) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |