NPI | 1558534370 |
---|---|
Former Name | VERONICA CHRISTINE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A137824) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A137824) |
2086X0206X Surgery, Surgical Oncology (Licence: GA 069508) | |
Enumeration Date | 2008-04-12 |
Last Update Date | 2020-11-05 |