| NPI | 1770237216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A25797) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: CA 20A25797) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2026-07-31 |