| NPI | 1265630727 |
|---|---|
| Former Name | KIMBERLY LYNN FLETCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP05294) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA 1658) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-09-28 |