Nora Kathleen Fletcher (1 February 1880 - 18 August 1976), known in later life as Paula Ian Alexander, was a decorated Australian nurse, who led the British Red Cross nurses in France and Belgium as principal matron during World War I. Fletcher was born on 1 February 1880 in the Sydney suburb of Woollahra.

[7][2][4] Praise for her work included:"Miss Fletcher has an extensive knowledge of people and things; she is an excellent organiser, very energetic, tactful, direct and broad-minded, loyal to those whom she serves and is respected by her fellow workers and subordinates.

"[4]In 1915, in a ceremony at Buckingham Palace, King George V awarded Fletcher the Royal Red Cross (1st class) for her distinguished service in France.

[4] In 1968, Fletcher's brother and sister donated her papers, photographs and medals to the State Library of New South Wales.

[4] Fletcher, who was known as Paula Ian Alexander, spent her later life living in Torquay, Devon, England, and died there aged 96, in the Ardvar nursing home, on 18 August 1976.