Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 5390 | NM |
NPI | 1003010232 |
---|---|
Provider Name | Mrs. Erin H Frye |
First Address | Albuquerque, NM 87102-3347 |
Second Address | Albuquerque, NM 87102-3347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 08/07/2007 |