| NPI | 1922125723 |
|---|---|
| Former Name | BETH MARIE FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 47720) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 200501811) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2022-07-21 |