NPI | 1043428113 |
---|---|
Former Name | MARGIT C DIJKSTRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A113641) |
Additional Taxonomies | 208D00000X General Practice (Licence: OH 57008562) |
Enumeration Date | 2007-05-20 |
Last Update Date | 2012-06-07 |