| NPI | 1063616142 |
|---|---|
| Former Name | JANIE WENG GRUMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A97413) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60223684) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2024-01-25 |