| NPI | 1376190793 |
|---|---|
| Former Name | MARQUITTA CRYSTAL TRIMNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 6941) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-05-08 |