| NPI | 1255363826 |
|---|---|
| Former Name | VICKIE C. FRAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 095910) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO RN095910) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-06-22 |