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 |