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 |