| NPI | 1760813067 |
|---|---|
| Former Name | KATHLEEN G FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990807-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0127049) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2020-03-10 |