| NPI | 1811125909 |
|---|---|
| Former Name | CHERYL NICHOLE BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101251800) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021830) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2019-07-15 |