| NPI | 1003362617 |
|---|---|
| Former Name | JULIANA MCCLINTOCK AYRES DOHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201802512NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 2018004137) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-03-05 |