| NPI | 1316575913 |
|---|---|
| Former Name | HALLIE FREDERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-20963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 7297) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-07-27 |