| NPI | 1023014750 | 
|---|---|
| Other Name | MARY A MIOUX | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A8359)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036084547)  | 
| Enumeration Date | 2005-06-27 | 
| Last Update Date | 2009-10-08 |