NPI | 1548678469 |
---|---|
Other Name | DAWN LASHA BRADFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07980) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP07980) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: LA AP07980) | |
Enumeration Date | 2014-07-23 |
Last Update Date | 2020-05-28 |