NPI | 1659519676 |
---|---|
Former Name | STEPHANIE JOY FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250150NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60069343) |
Enumeration Date | 2009-01-29 |
Last Update Date | 2020-09-10 |