| NPI | 1811125909 |
|---|---|
| Former Name | CHERYL NICHOLE BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC MD40002) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101251800) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021830) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-02-20 |