| NPI | 1790387447 |
|---|---|
| Former Name | NATASHA JANE DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5013953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 237757) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2021-01-06 |