| NPI | 1376819292 |
|---|---|
| Former Name | HEATHER NICOLE FLESHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TN MD0000056942) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2020-10-19 |