| NPI | 1871688689 |
|---|---|
| Former Name | CAROL J DILLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60107871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 08472) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-04-15 |