NPI | 1659721330 |
---|---|
Former Name | ELIZABETH A FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MA SP-1095-AU) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CT 17.000711) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2023-04-04 |