| NPI | 1205261930 |
|---|---|
| Former Name | JULIE C FISHER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2296) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 2296) |
| 363AS0400X Physician Assistant, Surgical (Licence: OK 2296) | |
| 363A00000X Physician Assistant (Licence: KS 15-01804) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2016-06-09 |