Individual
SUSANNA DANI ELECTA DOUGHERTY
Active
Individual
SUSANNA DANI ELECTA DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM, PCES
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW-9
HI
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW-9
HAWAII LICENCE NUMBER
HI
Enumeration date
06/16/2011
Last updated
11/22/2021
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