NPI | 1437662574 |
---|---|
Former Name | DAYNA C DODSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 7964) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7964-33) |
Enumeration Date | 2017-11-12 |
Last Update Date | 2024-05-13 |