NPI | 1346496411 |
---|---|
Former Name | LAUREN MARIE DONAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.006981) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209006981) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2009-12-16 |