NPI | 1578815106 |
---|---|
Former Name | KRISTIAN D'ANN FLETCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023871) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 829093) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2023-06-14 |