NPI | 1629837877 |
---|---|
Professional Name | MIYUKI DOUGHERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IL 125.083615) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-03-18 |
Last Update Date | 2024-05-31 |