NPI | 1730604653 |
---|---|
Former Name | CAROLYN MARGARET JANE DALRYMPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5399) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-08-11 |
Last Update Date | 2020-08-07 |