Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000002 | RI |
N | 175L00000X | Homeopath | 000002 | RI |
NPI | 1912461401 |
---|---|
Provider Name | Ms. Sheila Marie Frodermann |
First Address | Providence, RI 02906 |
Second Address | Providence, RI 02906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2019 |
Last Update Date | 29/01/2019 |