| NPI | 1356807028 |
|---|---|
| Former Name | KATHRYN JO BRADSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 024265) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH 340095) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2021-09-13 |