| NPI | 1285076679 |
|---|---|
| Former Name | KATHLEEN MARIE DONOGHUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KY 016514) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016514) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 016514) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-09-15 |