| NPI | 1063515377 |
|---|---|
| Former Name | SUZANNE MARIE DODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN 481536) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 49673) |
| 363L00000X Nurse Practitioner (Licence: CA NP8537) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |