| NPI | 1063601524 |
|---|---|
| Former Name | BRIANNA HEATHER FRYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ME ATC264) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |