NPI | 1053807917 |
---|---|
Former Name | ASHLEY BOURGOIS FISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404120) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R37952) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2024-03-19 |