| NPI | 1952799496 |
|---|---|
| Former Name | CATHY FRYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19228APRN) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5013922) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2021-02-24 |