| NPI | 1801194998 |
|---|---|
| Former Name | ELIZABETH MARIE FRANTUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60139588) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2014-08-07 |