| NPI | 1295731016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K6640) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS013698) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX K6640) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2012-04-10 |