| NPI | 1891963823 |
|---|---|
| Former Name | BRANDI MARIE FRAZEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 05091) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WV 1154) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-08-12 |