| NPI | 1306806773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH M2413) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M2413) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX M2413) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2023-01-20 |