NPI | 1205106291 |
---|---|
Former Name | ALLISON TRENTMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012001657) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO A1211046) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2018-03-05 |