| NPI | 1942487285 |
|---|---|
| Former Name | BEVERLY JEAN FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 88859030) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 88859030) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 8859030) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |