| NPI | 1598137424 |
|---|---|
| Former Name | KELSEY SUSAN FRIED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201507975NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60673442) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2021-09-07 |