| NPI | 1972633204 |
|---|---|
| Former Name | MARY CATHARINE LEDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS014769) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0008220) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-12-19 |