| NPI | 1164740726 |
|---|---|
| Former Name | KIMBERLY ANN TRENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 090380-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 629120) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2023-04-06 |