| 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 |