NPI | 1558309211 |
---|---|
Former Name | SUZANNE LEA DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD R030642) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP000417) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2007-10-19 |