| NPI | 1386208619 |
|---|---|
| Former Name | JESSICA J. FRIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.393297) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2020-05-20 |