NPI | 1164642237 |
---|---|
Former Name | AMANDA ELIZABETH BONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX M2498) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M2498) |
Enumeration Date | 2007-04-30 |
Last Update Date | 2014-09-10 |