NPI | 1851554687 |
---|---|
Former Name | JUDY ANN FLANNERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A12288) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI DOSR 130) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2018-05-08 |