NPI | 1760044564 |
---|---|
Former Name | MARCY RAE LEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 249788) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ RN168405) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2022-05-06 |