NPI | 1750476560 |
---|---|
Other Name | SALLY FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 105365) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 105365) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-08-04 |