| NPI | 1578934535 |
|---|---|
| Other Name | KIMBERLY SUE DONOVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201507448NPPP) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2018-04-26 |