NPI | 1245780808 |
---|---|
Former Name | ERIN LEIGH DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8527164-4405) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5009006) |
363LG0600X Nurse Practitioner Gerontology (Licence: UT 8527164-4405) | |
Enumeration Date | 2016-10-07 |
Last Update Date | 2023-03-08 |