| NPI | 1578815643 |
|---|---|
| Former Name | LYDIA FLECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 14500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22298) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2017-01-04 |