NPI | 1881638419 |
---|---|
Other Name | TERESA MARIE BRADWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP104652) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 587427) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2020-07-29 |