NPI | 1578921599 |
---|---|
Former Name | KAREN JANE FISHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-004682) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6804) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2021-03-15 |