NPI | 1912439530 |
---|---|
Former Name | MEGHAN EILEEN FLANNERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD61550810) |
Additional Taxonomies | 208600000X Surgery (Licence: UT 10957058-1205) |
Enumeration Date | 2017-04-02 |
Last Update Date | 2024-07-03 |