| NPI | 1548576309 |
|---|---|
| Former Name | AUDREY FRANTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09683) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003346) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2020-10-09 |