| NPI | 1235576471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX R1048) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10047525) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-08-20 |