| 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 |