| NPI | 1760775498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD61143338) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61143338) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX R6817) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2021-07-02 |