NPI | 1285869867 |
---|---|
Former Name | SUSAN LINDSEY WONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 73415) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 73415) |
Enumeration Date | 2009-05-26 |
Last Update Date | 2024-11-14 |