| NPI | 1861704256 |
|---|---|
| Former Name | JESSICA J. FRAYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002418A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28145285A) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2021-02-18 |