| NPI | 1114917671 |
|---|---|
| Former Name | SANDRA JEAN DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: CA 235654) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 235654) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 3089) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |