NPI | 1427183227 |
---|---|
Former Name | VONDA M DONOVAN (MAIDEN) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45218) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 45218) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2015-11-12 |