| NPI | 1306810387 |
|---|---|
| Former Name | MARY J BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: HI 13123) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 155779) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |