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 |