NPI | 1801895149 |
---|---|
Former Name | KATHLEEN FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-02005) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 034168) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2013-07-09 |