| NPI | 1639185226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX R2457) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 96-357) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-04-20 |