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