NPI | 1891770699 |
---|---|
Former Name | MARY SUSANN WAMSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: DC 35480) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2007-07-08 |