NPI | 1154817856 |
---|---|
Former Name | HEAVEN FLEMMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5997) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2078221) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2025-02-24 |