NPI | 1114917671 |
---|---|
Former Name | SANDRA JEAN DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 3089) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 235654) |
163WP0200X Registered Nurse, Pediatrics (Licence: CA 235654) | |
Enumeration Date | 2005-10-26 |
Last Update Date | 2025-09-11 |