| NPI | 1497256705 |
|---|---|
| Former Name | KELLY L FRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 150049) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 832) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-03-25 |