| NPI | 1306886106 |
|---|---|
| Former Name | KRISTIN D FRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4068) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 39874) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-08-19 |