NPI | 1306806773 |
---|---|
Former Name | TRISTI MUIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101285259) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M2413) |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX M2413) | |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH M2413) | |
Enumeration Date | 2006-03-28 |
Last Update Date | 2025-03-27 |