| NPI | 1609858141 |
|---|---|
| Former Name | GAIL CAROLYN BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C51588) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 016401) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2024-07-24 |