NPI | 1013196310 |
---|---|
Former Name | JESSICA JEANNE FRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP95012326) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP60037772) |
Enumeration Date | 2007-11-02 |
Last Update Date | 2021-06-04 |