| NPI | 1639596950 |
|---|---|
| Former Name | ASHLEY ELIZABETH DODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95001793) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 95047520) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TN APN18656) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2015-06-23 |