| NPI | 1518411107 |
|---|---|
| Former Name | MICHELLE ANN FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 024540) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 24540) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-07-17 |