| NPI | 1962665984 |
|---|---|
| Former Name | MICHELLE CYNTHIA FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD446488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446488) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2014-07-21 |