Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | D64127 | MD |
NPI | 1043360126 |
---|---|
Provider Name | Dr. Elizabeth Lee Daugherty |
First Address | Baltimore, MD 21210-1351 |
Second Address | Baltimore, MD 21205-2100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 25/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
368300100 | (05) | MD |
P00839229 | RRMC (01) | MD |