| NPI | 1922322809 |
|---|---|
| Former Name | ANGEL L BRADSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD466133) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD466133) |
| 208000000X Pediatrics (Licence: NC 2013-00924) | |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2024-06-27 |