NPI | 1659982973 |
---|---|
Former Name | ABIGAIL MADELEINE FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10954) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-08-11 |
Last Update Date | 2024-08-02 |