NPI | 1265410526 |
---|---|
Former Name | DEIRDRE COLLINS FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200500721) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD 00055050) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2014-03-05 |