NPI | 1023308921 |
---|---|
Former Name | KATHLEEN DOLORES REAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U5216) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A140439) |
207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: TX U5216) | |
Enumeration Date | 2011-04-12 |
Last Update Date | 2023-07-11 |