NPI | 1831639657 |
---|---|
Former Name | LAURA ANN BRADSHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9337291) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9337291) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9337291) | |
Enumeration Date | 2017-02-27 |
Last Update Date | 2023-02-22 |