| NPI | 1972773620 |
|---|---|
| Former Name | LAURIE FLINT DODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: DC RN1013020) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1013020) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |