| NPI | 1174718837 |
|---|---|
| Former Name | HARELLE CASSY MENARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 062882) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-05-27 |