NPI | 1871928218 |
---|---|
Former Name | SELIECE RAE DODDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: TX AP124466/RN 809236) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 2013007545) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2018-04-09 |