NPI | 1497858351 |
---|---|
Former Name | TOBI FAITH FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00064100) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00040600) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2020-04-23 |