NPI | 1306940549 |
---|---|
Former Name | DONNA R TULLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: MA 150095) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2019-03-18 |