| NPI | 1720115421 |
|---|---|
| Former Name | MOLLY J BRADSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005094) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3005094) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-12-08 |