NPI | 1922569433 |
---|---|
Former Name | REBECCA GRACE BRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A195137) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-12-31 |