NPI | 1366596066 |
---|---|
Former Name | REGINA CHRISTY DODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 11744) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2012-12-31 |