| NPI | 1275501322 |
|---|---|
| Former Name | KAREN M DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 047289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01050847A) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-05-12 |