NPI | 1669189692 |
---|---|
Former Name | JULIE FRODYMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F10220374) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R173891) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R173891) | |
Enumeration Date | 2022-10-31 |
Last Update Date | 2022-10-31 |