| NPI | 1013379718 |
|---|---|
| Former Name | MEGAN FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD467994) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.028451) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-08-01 |