| NPI | 1346631470 |
|---|---|
| Former Name | LUCRETIA FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704281509) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704281509) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2022-08-04 |