| NPI | 1124669221 |
|---|---|
| Professional Name | JAIME LOUISE DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R48645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143780) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-03-15 |