| NPI | 1093795585 |
|---|---|
| Former Name | ELLEN T DODDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ NN08244100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ NO08244100) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2016-01-06 |