| NPI | 1902018641 |
|---|---|
| Former Name | JULIE MARIA DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01073161A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036121864) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-08-19 |