| NPI | 1346776796 |
|---|---|
| Former Name | ABBY NIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-131169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-131169) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2022-06-27 |