| NPI | 1376370759 |
|---|---|
| Former Name | DEVIN TAYLOR DOTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95028193) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |