| NPI | 1184038804 |
|---|---|
| Former Name | CATHERINE ANNE DODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 84965) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002089683) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-10-24 |