| NPI | 1316917909 |
|---|---|
| Former Name | MARGARET MARIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0063472) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01060994A) |
| 208600000X Surgery (Licence: LA 206837) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-02-25 |