NPI | 1326351339 |
---|---|
Former Name | HEATHER RENEE DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AK 31609) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MT 126733) |
163WG0000X Registered Nurse, General Practice (Licence: MT 126733) | |
163WM0705X Registered Nurse, Medical-Surgical (Licence: MT 126733) | |
163WP2201X Registered Nurse, Ambulatory Care (Licence: MT 126733) | |
Enumeration Date | 2010-07-19 |
Last Update Date | 2021-06-05 |