| NPI | 1639408693 |
|---|---|
| Former Name | BRIDGET M DONAHOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5375034092) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2005036182) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2013-07-29 |