Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW412 | FL |
NPI | 1083381164 |
---|---|
Provider Name | Jennifer May Fischer |
First Address | Estero, FL 33928-3476 |
Second Address | Estero, FL 33928-3476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2021 |
Last Update Date | 25/08/2021 |