NPI | 1093023772 |
---|---|
Former Name | BROOKE ELIZABETH FISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R179144-4) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R179144-4) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2016-09-19 |