| NPI | 1649673500 |
|---|---|
| Former Name | JENNIFER DODT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.16430) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA.16430) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2020-05-06 |