| NPI | 1275586604 |
|---|---|
| Former Name | DEBORAH LYNNE DAUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0074209) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.128312) |
| 207Q00000X Family Medicine (Licence: NC 2016-00762) | |
| 207Q00000X Family Medicine (Licence: KY 49368) | |
| 207Q00000X Family Medicine (Licence: SC 39287) | |
| 207Q00000X Family Medicine (Licence: WV 26979) | |
| 207Q00000X Family Medicine (Licence: TN 53828) | |
| 207Q00000X Family Medicine (Licence: DC MD043823) | |
| 207Q00000X Family Medicine (Licence: NH 17733) | |
| 207Q00000X Family Medicine (Licence: VA 0101261212) | |
| 207Q00000X Family Medicine (Licence: GA 075882) | |
| 207Q00000X Family Medicine (Licence: AR E10294) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-08-12 |