NPI | 1760912596 |
---|---|
Former Name | SUSAN ASHLEY FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-164812) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN227426) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2025-08-20 |