NPI | 1568091742 |
---|---|
Former Name | BRITTANY BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11016411) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP201105) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2024-10-08 |