| NPI | 1104812635 |
|---|---|
| Former Name | JULIE LORRAINE RESHESKE-FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 463169703102) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-01-04 |