| NPI | 1659387637 |
|---|---|
| Former Name | DANA LYNN FLEMING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10129) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2040) |
| 363AS0400X Physician Assistant Surgical (Licence: MN 10129) | |
| 363AS0400X Physician Assistant Surgical (Licence: WI 2040) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-05-19 |