| NPI | 1275769135 |
|---|---|
| Other Name | STACY D DOUGHERTY-WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 69797) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 157387) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2019-10-03 |