| NPI | 1669081790 |
|---|---|
| Former Name | KELSIE ANN FREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704313601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27218) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2023-07-28 |