| NPI | 1336548742 |
|---|---|
| Former Name | CANDACE MICHELLE DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MT PHA-PHA-LIC-81013) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24004) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2023-08-24 |