| NPI | 1760793046 |
|---|---|
| Former Name | ELIZABETH A DONOHUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4106-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 125165-30) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2015-02-20 |