| NPI | 1003973272 |
|---|---|
| Former Name | RANDI J DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 4301056088) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301056088) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-04-22 |