| NPI | 1215065032 |
|---|---|
| Former Name | DEANNE MARIE DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VT 0420010358) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0010358) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-06-30 |