NPI | 1649512138 |
---|---|
Former Name | KATHLEEN J DONNELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35.128463) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128463) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2025-03-31 |