| NPI | 1467921130 |
|---|---|
| Former Name | KATHERINE IVEY DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020374) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308671) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2023-07-06 |