| NPI | 1245264894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 11700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 11700) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 11700) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: OK 11700) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-05-01 |