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 |