| NPI | 1649993924 |
|---|---|
| Former Name | MARIE CATHERINE DUNLEAVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 350786) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-11-10 |