| NPI | 1295173821 |
|---|---|
| Former Name | ELISABETH MARIE O'DOHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 12968A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR58148) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 191308) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2021-04-08 |