NPI | 1558027169 |
---|---|
Other Name | PAIGE FRERICHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024206) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209024206) |
Enumeration Date | 2021-11-09 |
Last Update Date | 2023-07-08 |