NPI | 1134115967 |
---|---|
Other Name | AVA MICHELLE SHELNUTT DODDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 040784) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 040784) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2014-10-15 |