| NPI | 1356571970 |
|---|---|
| Former Name | BRANDON ELIZABETH DOUGHERTY-HAMOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053927) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2016-12-12 |