| NPI | 1962495960 |
|---|---|
| Other Name | ERICA DAWN BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.002247) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 2247) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2022-01-25 |