| NPI | 1356328843 |
|---|---|
| Other Name | ELIZABETH BRADSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 76692) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2015-07-24 |