| NPI | 1871583591 |
|---|---|
| Former Name | TERRI ELISA DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 216784) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 216784) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-02-03 |