| NPI | 1952855835 |
|---|---|
| Former Name | ELIZABETH DICKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2303101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2303101) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2022-02-02 |