| NPI | 1255598058 |
|---|---|
| Former Name | KEATREDGE RE'TONDA FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9181344) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |