NPI | 1578584223 |
---|---|
Other Name | MARIA ELIZABETH BELOY BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17041) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60030912) |
363A00000X Physician Assistant (Licence: UT 354518-1206) | |
363A00000X Physician Assistant (Licence: UT 354518-8906) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2024-07-09 |