NPI | 1992299614 |
---|---|
Former Name | KELLY ANNE FLEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SD CP001383) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001383) |
Enumeration Date | 2018-06-16 |
Last Update Date | 2022-07-27 |