| NPI | 1346225737 |
|---|---|
| Former Name | ANITA D DONELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 2482) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2005-0003) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-09-24 |