| NPI | 1528421435 |
|---|---|
| Former Name | MOIRA THERESE FLANNERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: UT 53514774901) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |