| NPI | 1861478364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N5181) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD053692L) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX N5181) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-11-12 |