| NPI | 1174576094 |
|---|---|
| Former Name | SARA E DICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00137707) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-05-25 |