| NPI | 1801895727 |
|---|---|
| Other Name | MARY B. BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD432359) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 23275) |
| 208000000X Pediatrics (Licence: NJ 25MA09049500) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2015-08-04 |