| NPI | 1750387387 |
|---|---|
| Former Name | AMBER D FETCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000657A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002198) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2014-03-14 |