| NPI | 1831411891 |
|---|---|
| Former Name | JULIA FRYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085-002821) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001672A) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2017-08-18 |