NPI | 1174145015 |
---|---|
Former Name | EMILY L DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026701) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026701) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2024-09-12 |