| 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 |