NPI | 1548513690 |
---|---|
Other Name | DOE CHAVONE DOUGHERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005896) |
Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: NC 5005896) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |