| NPI | 1215437892 |
|---|---|
| Former Name | TORY L. MAXEY, FRITTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000718) |
| 363L00000X Nurse Practitioner (Licence: IL 209017195) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-04-25 |