NPI | 1487829792 |
---|---|
Former Name | KARA ANN FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS015493) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2008-00213) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2020-06-16 |