NPI | 1437133428 |
---|---|
Former Name | CHRISTINE DONNELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0071784) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 31311) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2023-09-12 |