| NPI | 1942678701 |
|---|---|
| Former Name | KELLY J LEONARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 20671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 176931) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2016-11-04 |