| NPI | 1225582521 |
|---|---|
| Former Name | JENNIFER DICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61596590) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8936) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-12-10 |