| NPI | 1316100878 |
|---|---|
| Former Name | DOROTHY YOLANDA HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX Q3376) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX 10034793) |
| 208600000X Surgery (Licence: IL 125055329) | |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2022-10-18 |