| NPI | 1578793212 |
|---|---|
| Former Name | MAUREEN O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD041998) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D82233) |
| 208600000X Surgery (Licence: VA 0101059017) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-06-09 |