NPI | 1821120841 |
---|---|
Former Name | DOROTHY SUZANNE FRODSHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007206) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007206) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2010-05-19 |