| NPI | 1104919240 |
|---|---|
| Former Name | KATRINA A TRIMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 1174) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-10-17 |