| 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 |