| NPI | 1649512138 |
|---|---|
| Former Name | KATHLEEN J DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.128463) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-01-31 |