| NPI | 1861626343 |
|---|---|
| Former Name | ADA MARGARET LOUGHHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 054360) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0074238) |
| 207Q00000X Family Medicine (Licence: PA MT195073) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2021-06-11 |