| NPI | 1588747257 |
|---|---|
| Former Name | MARIE R, MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN150779NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN150779) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-05-09 |