| NPI | 1710645775 |
|---|---|
| Former Name | ELIZABETH V DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 25623) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2023-06-28 |