| NPI | 1124575261 |
|---|---|
| Former Name | MARGO MARIE BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021401) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95068616) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-12-09 |