| NPI | 1841632197 |
|---|---|
| Former Name | COLLEEN LOUISE O'FLAHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA23093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 23093) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2016-05-31 |