| NPI | 1427238658 |
|---|---|
| Other Name | KATHLEEN MARY TULLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5006643) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 002824) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2014-02-04 |