| NPI | 1477911386 |
|---|---|
| Former Name | KHELSEA DODDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA 210408) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN210408) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-05-20 |