NPI | 1396737110 |
---|---|
Other Name | PEGGY ELIZABETH DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP10230) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 357419) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2022-02-27 |