| NPI | 1124522438 |
|---|---|
| Former Name | JACQUELINE A. FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13370) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 089709) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-06-24 |