| NPI | 1558957613 |
|---|---|
| Former Name | RACHAEL ELIZABETH BRADFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028553) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 481905) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2021-03-30 |