NPI | 1982966552 |
---|---|
Former Name | BRITNI MARIE BRADSHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 34859) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 34859) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2021-05-11 |