| NPI | 1720590268 |
|---|---|
| Former Name | VICTORIA BLAIRE FRITCHIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11560) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2019-01-02 |