| NPI | 1023907375 |
|---|---|
| Former Name | ELIZABETH HADLEY FISK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2278818) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-10 |