Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 11730 | NH |
NPI | 1003886730 |
---|---|
Provider Name | Gertrude A Donovan |
First Address | Laconia, NH 03247-1327 |
Second Address | Franklin, NH 03235-1259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 08/02/2008 |