| NPI | 1295148492 |
|---|---|
| Former Name | SARAH DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 17839) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 36673) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-01-08 |