| NPI | 1417136276 |
|---|---|
| Former Name | ALYSSA FLANAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0076411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.123141) |
| 208000000X Pediatrics (Licence: IL 036.123141) | |
| 208000000X Pediatrics (Licence: MD D0076411) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2017-03-20 |