| NPI | 1831655596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101270624) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101270624) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2025-08-19 |