| NPI | 1134231236 |
|---|---|
| Former Name | SALLY MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9263604) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 0000560) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-05-26 |