NPI | 1285018085 |
---|---|
Former Name | ERIN COLLEEN FRAZEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021069) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057302) |
363A00000X Physician Assistant (Licence: MA PA5369) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2018-03-17 |