| NPI | 1053910794 |
|---|---|
| Former Name | TIMIKA SHANTE FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R228537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1055089) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC RN1055089) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD R228537) | |
| 163WC1500X Registered Nurse Community Health (Licence: DC RN1055089) | |
| 163WH0200X Registered Nurse Home Health (Licence: MD R228537) | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2024-01-30 |