NPI | 1952589392 |
---|---|
Former Name | MARY K BYRNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 6048) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TN 6048) |
207X00000X Orthopaedic Surgery (Licence: PA OT019106) | |
363A00000X Physician Assistant (Licence: VA 0110002704) | |
Enumeration Date | 2008-02-07 |
Last Update Date | 2025-08-11 |