NPI | 1114197092 |
---|---|
Former Name | LISA KAY FLEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1108050) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000010426) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2024-08-14 |