| NPI | 1619991890 |
|---|---|
| Former Name | DANA LYNN DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 46382) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-082494) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-03-22 |