NPI | 1699331215 |
---|---|
Former Name | CAITLIN MARIE FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-165673) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151013491) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2025-05-15 |