| NPI | 1851594659 |
|---|---|
| Former Name | KELLI JEANNE DODSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101016736) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101016736) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2023-11-27 |