| NPI | 1093239279 |
|---|---|
| Former Name | HOLLY FISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 7747-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A167768) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 277.002189) | |
| 363LF0000X Nurse Practitioner Family (Licence: NE 114545) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 354581) | |
| 363LF0000X Nurse Practitioner Family (Licence: IN TH0005221) | |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704383781) | |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 297799) | |
| 363A00000X Physician Assistant (Licence: TX 1088698) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0035247) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-08-20 |