| NPI | 1467689752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NC 2023-00838) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-00838) |
| 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: TX R4167) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2023-04-14 |