| NPI | 1609801505 |
|---|---|
| Former Name | JO R BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 2662) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007192) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5007192) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-05-06 |