| NPI | 1750313185 |
|---|---|
| Former Name | MARY C DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA RN150905) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MA 150905) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-07-15 |