| NPI | 1720015720 |
|---|---|
| Former Name | BETH DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334103) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007082) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-09-14 |