| NPI | 1164078333 | 
|---|---|
| Former Name | TRISHA MARIE DOUVIA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A156097) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112957) | 
| Enumeration Date | 2019-08-14 | 
| Last Update Date | 2025-01-17 |