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 |