NPI | 1568403616 |
---|---|
Other Name | DOROTHY BRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 2539P) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 221135) |
163W00000X Registered Nurse (Licence: KY 1058398) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.07753) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2018-09-07 |