Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 26NN07870300 | NJ |
NPI | 1043517824 |
---|---|
Provider Name | Ms. Katharine Elizabeth Donaldson |
First Address | Trenton, NJ 08618-4502 |
Second Address | Trenton, NJ 08618-4502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2011 |
Last Update Date | 14/02/2011 |