NPI | 1609633486 |
---|---|
Former Name | BOBBI BRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 148330) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704412619) |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-05-08 |