NPI | 1437837812 |
---|---|
Former Name | LAURA ELIZABETH FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2285427) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2285427) |
Enumeration Date | 2023-07-06 |
Last Update Date | 2024-05-14 |