| NPI | 1518342757 |
|---|---|
| Former Name | ABIGAIL FRITCHLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10001897A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 00000000A) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-12-09 |