| NPI | 1659666139 |
|---|---|
| Former Name | CHERYL-LYNNE DEIDRE ARCHIBALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102203396) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102203396) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0102203396) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2025-05-14 |