| NPI | 1225328636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R8178) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA DO. 000417) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX R8178) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2021-03-15 |