NPI | 1780220111 |
---|---|
Former Name | MARY CAROLYN DINSDALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001813-C-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012020480) |
Enumeration Date | 2019-11-20 |
Last Update Date | 2024-08-15 |