NPI | 1710612346 |
---|---|
Former Name | KIMBERLY RAMOS DINSMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32174) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F07220825) |
363LF0000X Nurse Practitioner, Family (Licence: TN 235335) | |
Enumeration Date | 2022-07-18 |
Last Update Date | 2022-07-28 |