| NPI | 1902343429 |
|---|---|
| Former Name | AMANDA KRISTINE FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058793) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058793) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2019-11-26 |