NPI | 1003940966 |
---|---|
Former Name | JESSICA MARIE FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301087739) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301087739) |
207ZD0900X Pathology, Dermatopathology (Licence: MI 4301087739) | |
207ZD0900X Pathology, Dermatopathology (Licence: OR MD174001) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2024-01-23 |