| NPI | 1225676992 |
|---|---|
| Former Name | AMANDA JEAN FRASHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019854) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.019854) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2024-12-05 |