| NPI | 1922761741 |
|---|---|
| Other Name | KELLY L GOODMAN-O'LEARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN721550) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-08-02 |