| NPI | 1003940966 |
|---|---|
| Former Name | JESSICA MARIE FLYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: WI 84970) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301087739) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301087739) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: MI 4301087739) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: OR MD174001) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-01-08 |