NPI | 1508346701 |
---|---|
Former Name | CHRISTINE ANN FISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA060188) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363AM0700X Physician Assistant, Medical (Licence: NJ 25MD00499400) | |
363AM0700X Physician Assistant, Medical (Licence: PA OA0046141) | |
Enumeration Date | 2018-08-16 |
Last Update Date | 2023-04-24 |