| NPI | 1831645910 |
|---|---|
| Former Name | ELIZABETH DONNA FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016220) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP016220) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2023-10-25 |