| NPI | 1750975769 |
|---|---|
| Former Name | ELLEN FAIRCHILD FLECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: CA NP95020260) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: FL 11011761) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2022-11-28 |