| NPI | 1760003156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274005) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101274005) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-06-09 |