NPI | 1740693894 |
---|---|
Former Name | KARLA LU TRIMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001893) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7204367-4405) |
Enumeration Date | 2014-06-06 |
Last Update Date | 2016-09-16 |