NPI | 1306382726 |
---|---|
Former Name | MARYKATHRINE LEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95006393) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 811923) |
363L00000X Nurse Practitioner (Licence: CA 95006393) | |
Enumeration Date | 2017-01-09 |
Last Update Date | 2023-03-16 |