| NPI | 1851601702 |
|---|---|
| Former Name | ELLEN M FRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5713) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 50363) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2023-05-11 |