| NPI | 1063662260 |
|---|---|
| Former Name | CYNTHIA A FREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 107714) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2009-04-21 |