NPI | 1609230911 |
---|---|
Former Name | SARAH M BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 20861) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 000020861) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2025-07-24 |