NPI | 1376575670 |
---|---|
Former Name | ANGELA G BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 321742) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60349190) |
207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60349190) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-03-03 |