NPI | 1528422854 |
---|---|
Former Name | LASONYA FLEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4512) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 1593668) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2020-08-10 |