| NPI | 1811259419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX R8618) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 21271) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX R8618) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2023-08-03 |