| NPI | 1245895259 | 
|---|---|
| Former Name | SARAH MATILDA DIXON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11002213)  | 
| Enumeration Date | 2019-05-06 | 
| Last Update Date | 2020-05-01 |