NPI | 1760953152 |
---|---|
Former Name | CHRISTINA DODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010604) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 92010604) |
Enumeration Date | 2018-12-10 |
Last Update Date | 2024-06-20 |