| NPI | 1942604335 |
|---|---|
| Former Name | GALEN DUNLEAVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704272072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704272072) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2017-10-18 |