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