NPI | 1780028134 |
---|---|
Former Name | RACHEL JENEANNE DODGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.148198) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01078047) |
208000000X Pediatrics (Licence: OH 35.148198) | |
Enumeration Date | 2013-04-28 |
Last Update Date | 2023-07-21 |