NPI | 1710305701 |
---|---|
Former Name | ERIN DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1513-320) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T6015) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX T6015) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 320098) | |
Enumeration Date | 2014-04-07 |
Last Update Date | 2024-01-16 |