NPI | 1942777388 |
---|---|
Former Name | KAITLYN ELIZABETH LEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN-1919) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023445) |
Enumeration Date | 2018-10-24 |
Last Update Date | 2022-06-16 |