| NPI | 1649258948 |
|---|---|
| Former Name | ANDREA DENISE FISK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 067414) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2025-05-13 |