| NPI | 1053965681 |
|---|---|
| Former Name | STEPHANIE LYNN DINSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9456-33) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 9456-33) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2021-01-13 |