| NPI | 1336528173 |
|---|---|
| Professional Name | EMMANUELLE DICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9409105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9409105) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001041) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2022-12-06 |