| NPI | 1568992113 |
|---|---|
| Former Name | ELIZABETH ANNE TRENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 131177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 81585) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-05-01 |