NPI | 1598289340 |
---|---|
Former Name | JULIA ANNE TRIMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059177) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004222) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2021-12-06 |