| NPI | 1255908091 |
|---|---|
| Former Name | KRISTEN GRACE DINSMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5220) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 5220) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-03-13 |