| NPI | 1922494756 |
|---|---|
| Former Name | AIMEE LYNN FREDERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2285148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2285148) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-03-08 |