| NPI | 1376739219 |
|---|---|
| Former Name | ELIZABETH A DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5240P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5240D) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 69059) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2022-04-26 |