| NPI | 1417147356 |
|---|---|
| Former Name | DIANE MARIE BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 15098) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2022-09-12 |