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