NPI | 1063648434 |
---|---|
Former Name | DIXIE MARIE LEDGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117983) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 684604) |
363LF0000X Nurse Practitioner, Family (Licence: TX 684604) | |
Enumeration Date | 2009-05-29 |
Last Update Date | 2021-07-13 |