NPI | 1326431859 |
---|---|
Former Name | LAUREN ELIZABETH DONAHUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2292062) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2292062) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2019-01-31 |