| NPI | 1184691248 |
|---|---|
| Former Name | KATHLEEN DONLEAVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9349315) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302537) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-04-20 |