| NPI | 1538503594 |
|---|---|
| Former Name | LISA ELEANOR DONALLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 51897) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 53972) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2018-11-01 |