NPI | 1639345390 |
---|---|
Former Name | TRICIA NICOLE BRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME101435) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD035315) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2008-05-02 |