| NPI | 1255747325 |
|---|---|
| Former Name | KATHRYN GRACE LEITERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5881-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 138209-30) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2019-12-31 |