| NPI | 1457971277 |
|---|---|
| Former Name | MARY THREESA DONALDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R082649) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R082649) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-06-04 |