NPI | 1538884739 |
---|---|
Former Name | AUDREY YVONNE DONOVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 210524) |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-12-24 |