| NPI | 1235468356 |
|---|---|
| Former Name | TARA KAY TRINRUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 2887792) |
| Enumeration Date | 2009-12-19 |
| Last Update Date | 2011-07-13 |