| NPI | 1922261965 |
|---|---|
| Former Name | JEAN MARIE O'LEARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333831-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302932-1) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |