| NPI | 1952809949 |
|---|---|
| Former Name | KARI ANN FREDERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0134258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0095344) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-02-14 |