| NPI | 1598967127 |
|---|---|
| Former Name | AMY SARAH FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21538) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2004023572) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-10-03 |