NPI | 1952589392 |
---|---|
Former Name | MARY K BYRNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OT019106) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002704) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2019-06-11 |