| NPI | 1871988097 |
|---|---|
| Former Name | KIMBERLY ANN TRINH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001005667) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 001005667) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 001005667) | |
| 363A00000X Physician Assistant (Licence: WI 7713) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-05-15 |