Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101260685 | VA |
Y | 2084N0402X | Child Neurologist | 0101260685 | VA |
NPI | 1023456027 |
---|---|
Provider Name | Katherine Darby Dobbins |
First Address | Falls Church, VA 22043-2816 |
Second Address | Fort Sam Houston, TX 78234-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 13/03/2020 |