NPI | 1235790569 |
---|---|
Former Name | EMMA KATHERINE FLAHERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01152) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI CPA01152) |
363A00000X Physician Assistant | |
363A00000X Physician Assistant (Licence: CT 5353) | |
Enumeration Date | 2019-06-26 |
Last Update Date | 2021-11-09 |