| NPI | 1962487017 |
|---|---|
| Former Name | TRINITI LYN REVELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1284757) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 320656) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2025-06-04 |