| NPI | 1396755724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T5199) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 239799) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 25530) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX T5199) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-06-17 |