NPI | 1437747326 |
---|---|
Former Name | ERICA LYNN FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022911) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP022911) |
Enumeration Date | 2021-01-06 |
Last Update Date | 2022-05-03 |