| NPI | 1154328896 |
|---|---|
| Former Name | KELLEY JANE FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01050034A) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: WI 55785) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-03-21 |