NPI | 1942575675 |
---|---|
Former Name | LISA MICHELLE FUEHRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61112006) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA22082) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2021-10-19 |