| NPI | 1295001931 |
|---|---|
| Former Name | LISA DOCHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp012023) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R20754) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2019-08-08 |