| NPI | 1386709681 |
|---|---|
| Former Name | DONNA JEAN VENDETTOLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MA 183905) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 183905) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |