| NPI | 1982072856 |
|---|---|
| Former Name | KRISTEN JOAN BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2283686) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA 2283686) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2019-04-11 |