NPI | 1528581840 |
---|---|
Other Name | ELIZABETH BRADY HAUKE MARRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9210862) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN9210862) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2025-08-18 |