| NPI | 1124312764 |
|---|---|
| Former Name | JULIA ANNE DONELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5969) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0040987) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2014-08-06 |