NPI | 1871900183 |
---|---|
Former Name | KARA MICHELLE DONOVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131961) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX F0814519) |
363L00000X Nurse Practitioner (Licence: TX F0814519) | |
363LF0000X Nurse Practitioner, Family (Licence: KS 53-76472-121) | |
Enumeration Date | 2014-07-18 |
Last Update Date | 2022-01-06 |