| NPI | 1831286830 |
|---|---|
| Former Name | STACIE ANN FRIESEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N5456) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC LL27100) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-02-27 |