NPI | 1942461512 |
---|---|
Former Name | STACY DODT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A111715) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A111715) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2024-08-09 |