| NPI | 1194114918 |
|---|---|
| Former Name | WHITNEY DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601007590) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005273) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2021-02-23 |