NPI | 1649258948 |
---|---|
Former Name | ANDREA DENISE FISK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35077503) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2022-11-07 |