| NPI | 1760636252 |
|---|---|
| Former Name | ELISABETH RENEE FISCHETTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2766) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2023-07-10 |