NPI | 1215331632 |
---|---|
Former Name | EMILY ANNE DOUGHTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 078516-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338973-1) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2018-09-20 |