| NPI | 1316202302 |
|---|---|
| Former Name | BRADLEIGH ROSE ZITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 352823) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 22907) |
| 363A00000X Physician Assistant (Licence: AL PA.1150) | |
| 363A00000X Physician Assistant (Licence: NC 0010-03629) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2025-10-03 |