NPI | 1235527102 |
---|---|
Former Name | AMANDA B FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010424) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: DE LV-0000116) |
Enumeration Date | 2014-12-31 |
Last Update Date | 2023-09-18 |