| 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 |