| NPI | 1295828499 |
|---|---|
| Former Name | SHANNON DOUGHTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME R049265) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LS7243) |
| 363LF0000X Nurse Practitioner Family (Licence: ME AP081371) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-12-15 |