| NPI | 1831784032 |
|---|---|
| Former Name | TERRI LYNN FISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 82347-30) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-12-11 |