NPI | 1841543238 |
---|---|
Former Name | KATE ROSE DUNLEAVY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 53-75837-121) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 105438) |
363LA2200X Nurse Practitioner Adult Health (Licence: KS 145854) | |
Enumeration Date | 2012-10-22 |
Last Update Date | 2023-04-20 |