NPI | 1255330064 |
---|---|
Other Name | TERESA LYNN LAUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX TX-K3911) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K3911) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2013-11-04 |