| NPI | 1508311853 |
|---|---|
| Former Name | MARGO B. FREDERICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60854665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60845692) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60854665) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2023-02-27 |