NPI | 1194110197 |
---|---|
Former Name | ASHLEY LEE DOTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 286938) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 286938) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS018455) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 2981) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036170333) | |
Enumeration Date | 2015-04-06 |
Last Update Date | 2024-08-02 |