NPI | 1205368628 |
---|---|
Former Name | SARAH JANE WATERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VT 042.0015795) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2019-00166) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2023-05-25 |