| NPI | 1740062629 |
|---|---|
| Former Name | KELSEY NICOLE FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: HI 110095) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |