| NPI | 1316592710 |
|---|---|
| Former Name | HAYDEN DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 003245) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A.02194) |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2024-06-19 |