NPI | 1326413121 |
---|---|
Former Name | CHERYL FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 851015) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009588) |
Enumeration Date | 2015-12-04 |
Last Update Date | 2023-08-23 |