| NPI | 1669714366 |
|---|---|
| Former Name | BRANDI ELIZABETH BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 207700) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-10-29 |